Becoming-curiosity: deterritorializing chaos in health

In this final part of my 3 part series, I explore the third perspective I chose to discuss in my university assignment. I then finish with a brief discussion and conclusion. Throughout this assignment I wanted to draw upon wider aspects of where the biomedical model has infiltrated physiotherapy, this last part explores one small…

In part 1 of this series, I explored the enduring legacy of biomedicine and its obscured view of the body, and how this view reduces the human and the body to objectifiable matter. To understand the enduring legacy deeply, I proposed using a state of ecological curiosity to explore three perspectives that perpetuate the legacy…

Having returned to study in 2023, over the next few weeks I will be sharing my recent assignment in a 3 part series. The assignment is a reflective piece of my thoughts about the persisting view of the biomedical body in pain and physiotherapy practice. In this piece of work I offer 3 perspectives that…

What do physiotherapists think of when they think about curiosity? Why would physiotherapists care or even need to think exclusively about the word? It can be argued that Physiotherapy is a profession that has harnessed curiosity since its genesis in the late 19th century. Curiosity itself has been compared to the inherent behaviour of hunger.…

For some time now I’ve been reading a lot about curiosity. I’ve been exploring curiosity from various fields such as philosophy, medical science, psychology, social sciences, education, art and communication; not an exhaustive list at all! Curiosity really is a fascinating area of study. Commonly defined as an eager desire to learn or know about…

My previous post focused on the concept of the Rhizome as discussed by Deleuze & Guattari in their 1987 publication, ‘A Thousand Plateaus: Capitalism and Schizophrenia.’ In the blog, I discussed the six principle characteristics providing my own interpretation and providing examples of each in physiotherapy. In this post, I share an example of rhizomatic…

‘The more relations a body has, the more it is capable of doing‘ Nick J.Fox, 2012 There’s a lot of unrest in a world dominated by pain. In a very literal sense, we can understand this as a lack of rest, fatigue, a disturbance of sleep, or available energy. In another sense, it describes a…

“Tell me your relation to pain, and I will tell you who you are!” Ernst Jüngers (1895 – 1998) I’ve been chatting and sharing thoughts on philosophy, creativity and art with a colleague, Eduan Breedt. After much discussion I invited Ed to share some of his musings in a blog. Take it away Ed! What…

Physiotherapy is one of the caring professions. It lies alongside Medicine, Nursing and other Allied Health Professions. Every single human on the planet is entitled to healthcare, and whilst some populations of the world do not receive adequate healthcare, there are others that are subjected to overdiagnosis and overtreatment (Maher, O’Keeffe, Buchbinder, & Harris, 2019)…

When this question popped in my head, it sparked my curiosity. I had been reading through Explain Pain recently and I got a sense of something that perturbed me. I wondered if it had something to do with the necessity of the inherent nature of duality. So, as I often do, I thought I would…

Why is it that people living with pain upon seeing a healthcare professional often report, “ I have been told that it’s all in my head” and that the central focus of pain management programs is towards living well and not what people living with pain commonly report – the desire for pain reduction. Admittedly,…

Kablooey! You have a bout of back pain. It’s unpleasant and so off to the…. (insert health professional) you go. You tell your story, they ask a bunch of questions, do an assessment, a bit of jiggery pokery and then give you a couple of exercises to do (be it stickmen, pictures or videos downloaded…

Diagnosis is an important part of healthcare provision. Quite simply, people want to know what’s wrong with them in order to know what can be done about it. Clinicians diagnose so to provide the person living with a disease, the appropriate treatment (Gifford, 2014), and whilst this is a prevailing view, does a structural diagnosis…

Warning: This blog is lengthy, contains jargon, waffling and rabbit holes. In one of the scenes in the movie The Matrix, Morpheus introduces Neo to the Matrix for the first time. Morpheus explains the construct, a loading program, where anything can be loaded from clothing to equipment, training simulations, anything they need. Cue abstract from…

This month I decided to put me feet up and support the voice of my fellow colleagues. I get contacted by many clinicians, of all levels of experience, wanting to chat about where they should take their career. Many are sat at a crossroads unsure of which way to turn, with some even considering leaving…

In my last post I shared my thoughts on the comparisons between dispositional reasoning and process based therapy, with the focus being on workable processes of change rather than trying to find the “magic bullet” of pain elimination. To try and explain this, I would like to reference parts of a chapter from Rethinking Causality,…

Physiotherapy has been going through some significant changes in the last 20-30 years. Probably one of the most significant is the paradigm shift from the biomedical to the biopsychosocial (BPS) model. The BPS model shifting the emphasis from tissue pathology to a systems based approach capturing biological, psychological and sociological components. Despite the argument that…

I do wonder what the response might be to the title of this blog? Physiotherapy within pain management is still very much in the midst of an explaining pain / CBT evolution, but I do wonder if we have disregarded what our peers in other professions have been questioning with respect to their own methods?…

Physiotherapists tend to have a bit of a reputation for jumping onto bandwagons. In writing this blog I am committing hypocrisy by admitting I am a strong proponent of Acceptance and Commitment Therapy (ACT). Yes, it’s true I can be accused of jumping onto a bandwagon. If I look up the meaning of bandwagon here’s…

There’s a moment in the Lord of the Rings, where Frodo and Sam are walking in the rocky terrain of the Misty Mountains trying to head towards Mordor. Sam speaks about the familiarity of the terrain and Frodo, jaded, responds with, “That’s because we’ve been here before, we’re going in circles” Eventually, it is Golum,…

“It’s important that you pace your activity, this is to minimize the risk of your pain increasing. Once you identify how long you can spend at a task before your pain increases, you will eventually be able to increase your time doing the task.” Pacing Activity pacing (AP) is a term widely used to describe…

Anyone who reads my blogs will know that I like to venture off the beaten track and explore how transferable knowledge between areas of interest or other specialties relate can be implemented into our understanding of persistent pain. I’ve blogged a few times about exercise dosage here, here and here and I thought I would…

A common experience for people living with pain is the enigmatic behavior of pain. People feel a lack of control due to the unpredictability, intensity or severity of pain. This can significantly affect a person’s ability to achieve a desired outcome, such as playing with their kids, being able to vacuum, being able to work,…

The situation is real, a worldwide pandemic, and as we currently stand the chance of a vaccine for Covid-19 may be 12 to 18 months away. Currently, the recommendations from the World Health Organization to help reduce the spread and ‘flatten the curve’ include:   Wash your hands frequently Maintain Social distancing Avoid touching, eyes,…

I’ve been sifting through the concussion and whiplash evidence for a good 4-5 months now and quite frankly it is complex. I understand the challenges the evidence demonstrates in determining the diagnostic nuances between each. For example, there are many symptoms that overlap between concussion and whiplash (Elkin, Elliott, & Siegmund, 2016; Rebbeck, Evans, &…

People in pain often describe how much their pain hurts, often displaying its level of intensity through facial expression and tone of voice. The word ‘intensity’ is defined as ‘the quality of being intense’ Another definition refers to intensity as: ‘extreme depth of feeling’ Quality refers to the words to describe the characteristics and feeling…

I’ve just spent the last two days in Auckland CBD at the bi-annual Brainstorm conference. A conference specifically focused on all things concussion. So, I thought I would give a quick rundown of my highlights. I think the biggest thing that confirmed my thinking was the huge parallels between pain management and persistent post concussion syndrome…

Usual care physiotherapy for chronic musculoskeletal pain, does anyone still do that? I recently read a single – blinded randomized controlled trial article (Domingues et al., 2019) discussing the effectiveness of combined Manual Therapy with Exercise compared to “usual care” physiotherapy for the treatment of chronic non-specific neck pain (CNSNP). The first cynical thought that…

We can use ACT? A psychological therapy?? But that’s stepping outside my professional boundary, I couldn’t possibly…   Ok, back up! I can’t speak for Occupational Therapists (OTs) but Physiotherapists (PTs), really?? Are you honestly saying you’re crossing a line? Let’s take a wee trip down my memory lane shall we. On my journey with…

‘Oh, I’ve been shaking I love it when you go crazy You take all my inhibitions Creativity, there’s nothing holding me back You take me places that tear up my reputation Manipulate my decisions Creativity, there’s nothing holding me back There’s nothing holding me back There’s nothing holding me back’  Adapted from Shawn Mendes, There’s…

 “Heroes are made by the path they choose, not the powers they are graced with.” –Brodi Ashton / Iron Man(Attribution) Superheroes have fueled the imagination and inspired us. We are currently in the cinematic age and renaissance of superheroes. Since 2008, when the first Iron Man movie was released, Marvel have released no less than…

I have been a bit of a runner for most of my life. Where I grew up in the Highlands of Scotland there was plenty of cross country running tracks to be explored. Of course that was mixed in with mountain biking, fly fishing, kayaking, sailing, football, hiking, rock-climbing… you get the picture. I have…

Persistent pain is certainly a complex beast and if we are to discuss particular body regions, low back pain would have to be the kraken* of all musculoskeletal disorders. In 2018 it was still the number one cause of disability globally and has dominated the number one spot spanning nearly 3 decades (James et al.,…

I have worked in the field of persistent pain for 8 years, I am continuously challenged.  I get stuck and frozen by the complexity of presentations, because no two presentations are the same, despite the fact that those two very different presentations have a referral for the same pain problem (back pain for example). People experience…